Important: Formulation and dosage details
Formulation:
Injection (adrenaline 1 in 100,000 (22 micrograms), articaine 88mg/2·2mL cartridge)
We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.
To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
24/02/22 Prilocaine hydrochloride hyperbaric solution for injection 2% (hospital use only - restricted to anaesthetists) added.
The maximum safe local anaesthesia doses are as follows:
Drug |
Maximum safe dose |
Lidocaine |
3mg/kg |
Lidocaine (with adrenaline/epinephrine) |
7mg/kg |
Bupivacaine |
2mg/kg |
Bupivacaine (with adrenaline/epinephrine) |
2mg/kg |
Levobupivacaine |
2mg/kg |
Infusion (epidural) 250mg/250mL (0·1%) in sodium chloride 0·9%
Solution for injection 0.25% 10ml ampoules
For spinal anaesthesia.
Solution for injection (Marcain Heavy®) 0.5%
Infusion in sodium chloride 0·9% (250mL) unlicensed
Solution for injection (Xylocaine®) (lidocaine 1%, adrenaline 1 in 200,000), (lidocaine 2%, adrenaline 1 in 200,000)
Solution for injection 1% 500mg/50mL
Hyperbaric solution for injection 2% (hospital use only - restricted to anaesthetists)
As per SMC 665/10: spinal anaesthesia.
SMC restriction: for use in spinal anaesthesia in ambulatory surgery settings such as day surgery units.